Comparison of segmentation-free and segmentation-dependent computer-aided diagnosis of breast masses on a public mammography dataset.

Purpose: To compare machine learning methods for classifying mass lesions on mammography images that use predefined image features computed over lesion segmentations to those that leverage segmentation-free representation learning on a standard, public evaluation dataset.Methods: We apply several cl...

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Publicado en:Journal of Biomedical Informatics Vol. 113
Autores principales: Sawyer Lee, Rebecca, Dunnmon, Jared A., He, Ann, Tang, Siyi, Ré, Christopher, Rubin, Daniel L.
Formato: research Journal Article
Publicado: Academic Press Inc. Jan2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Biomedical Informatics
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      dt: Jan2021
      vid: 113
      pid: 735
      pub: Academic Press Inc.
      place: Burlington, Massachusetts
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        148234646
        10.1016/j.jbi.2020.103656
        NLM33309994
        148234646
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        atl: Comparison of segmentation-free and segmentation-dependent computer-aided diagnosis of breast masses on a public mammography dataset.
      aug:
        au:
          Sawyer Lee, Rebecca
          Dunnmon, Jared A.
          He, Ann
          Tang, Siyi
          Ré, Christopher
          Rubin, Daniel L.
        affil: Stanford University Biomedical Informatics Training Program, United States
      sug:
        subj:
          Breast Neoplasms
          Mammography
          Female
          Early Detection of Cancer
          Breast
          Computers and Computerization
          Human
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Funding Source
          Female
      ab: Purpose: To compare machine learning methods for classifying mass lesions on mammography images that use predefined image features computed over lesion segmentations to those that leverage segmentation-free representation learning on a standard, public evaluation dataset.Methods: We apply several classification algorithms to the public Curated Breast Imaging Subset of the Digital Database for Screening Mammography (CBIS-DDSM), in which each image contains a mass lesion. Segmentation-free representation learning techniques for classifying lesions as benign or malignant include both a Bag-of-Visual-Words (BoVW) method and a Convolutional Neural Network (CNN). We compare classification performance of these techniques to that obtained using two different segmentation-dependent approaches from the literature that rely on specific combinations of end classifiers (e.g. linear discriminant analysis, neural networks) and predefined features computed over the lesion segmentation (e.g. spiculation measure, morphological characteristics, intensity metrics).Results: We report area under the receiver operating characteristic curve (AZ) values for malignancy classification on CBIS-DDSM for each technique. We find average AZ values of 0.73 for a segmentation-free BoVW method, 0.86 for a segmentation-free CNN method, 0.75 for a segmentation-dependent linear discriminant analysis of Rubber-Band Straightening Transform features, and 0.58 for a hybrid rule-based neural network classification using a small number of hand-designed features.Conclusions: We find that malignancy classification performance on the CBIS-DDSM dataset using segmentation-free BoVW features is comparable to that of the best segmentation-dependent methods we study, but also observe that a common segmentation-free CNN model substantially and significantly outperforms each of these (p < 0.05). These results reinforce recent findings suggesting that representation learning techniques such as BoVW and CNNs are advantageous for mammogram analysis because they do not require lesion segmentation, the quality and specific characteristics of which can vary substantially across datasets. We further observe that segmentation-dependent methods achieve performance levels on CBIS-DDSM inferior to those achieved on the original evaluation datasets reported in the literature. Each of these findings reinforces the need for standardization of datasets, segmentation techniques, and model implementations in performance assessments of automated classifiers for medical imaging.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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